Autor(en)
Meyer, Jaimie P; Zelenev, Alexei; Wickersham, Jeffrey A; Williams, Chyvette T; Teixeira, Paul A; Altice, Frederick L
Titel
Gender Disparities in HIV Treatment Outcomes Following Release From Jail: Results From a Multicenter Study
Teil von
  • American journal of public health (1971), 2014-03-01, Vol.104 (3), p.434-441
Ort / Verlag
WASHINGTON: AMER PUBLIC HEALTH ASSOC INC
Links zum Volltext
Quelle
Web of Science
Beschreibungen
Objectives. We assessed gender differences in longitudinal HIV treatment outcomes among HIV-infected jail detainees transitioning to the community. Methods. Data were from the largest multisite prospective cohort study of HIV-infected released jail detainees (n = 1270)-the Enhancing Linkages to HIV Primary Care and Services in Jail Setting Initiative, January 2008 and March 2011, which had 10 sites in 9 states. We assessed baseline and 6-month HIV treatment outcomes, stratifying by gender. Results. Of 867 evaluable participants, 277 (31.9%) were women. Compared with men, women were more likely to be younger, non-Hispanic White, married, homeless, and depressed, but were similar in recent alcohol and heroin use. By 6 months postrelease, women were significantly less likely than men to experience optimal HIV treatment outcomes, including (1) retention in care (50% vs 63%), (2) antiretroviral therapy prescription (39% vs 58%) or optimal antiretroviral therapy adherence (28% vs 44%), and (3) viral suppression (18% vs 30%). In multiple logistic regression models, women were half as likely as men to achieve viral suppression. Conclusions. HIV-infected women transitioning from jail experience greater comorbidity and worse HIV treatment outcomes than men. Future interventions that transition people from jail to community-based HIV clinical care should be gender-specific.
Format
Sprache(n)
Englisch
Identifikator(en)
ISSN: 0090-0036
ISSN: 1541-0048
DOI: 10.2105/AJPH.2013.301553

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